Individual
DR. DEMETRA STACKHOUSE-POWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMSW
Contact information
Practice address
1661 INTERNATIONAL DRIVE, SUITE 400, MEMPHIS, TN 38120-9498
(901) 646-5225
Mailing address
1661 INTERNATIONAL DRIVE, SUITE 400, MEMPHIS, TN 38120-9498
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW00000108080
TN
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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